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Ann Thorac Surg 1981;32:604-608
© 1981 The Society of Thoracic Surgeons


Articles

Massive Arterial Air Embolism Due to Rupture of Pulsatile Assist Device: Successful Treatment in the Hyperbaric Chamber

L. Tomatis, M.D.*, M. Nemiroff, M.D., M. Riahi, M.D., J. Visser, M.D., E. Visser, M.D., A. Davies, D.O., D. Helentjaris, M.D., F. Stockinger, M.D., D. Kanten, R.N., M. Oosterheert, R.N., A. Valk, R.N., D. Blietz, S.A.

From the Butterworth Hospital, Grand Rapids, MI

Accepted for publication August 27, 1981.

* Address reprint requests to Dr. Tomatis, 21 Michigan St. NE, Grand Rapids, MI 49503

We present the case of a patient who had rupture of a pulsatile assist device (PAD) accompanied by massive air embolism, and the treatment that brought it to a successful outcome. After rupture of the skin of the PAD balloon, a massive amount of air was injected into the ascending aorta. The patient was placed in Trendelenburg position and cooled in deep hypothermia with cardiopulmonary bypass. He was given 1 gm of methylprednisolone intravenously, and the aortic valve replacement and double vein bypass graft were performed.

After completion of the operation, the patient was partially rewarmed to 30°C central temperature and transported by ambulance to a hyperbaric chamber where he was compressed to 6 atmospheres absolute 9 hours after the accident with clinical signs of severe brain dysfunction. The patient recovered completely and was discharged from the hospital on the tenth postoperative day.




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